Organization Active NPI

JV Mobile Care

  • Primary Care Clinic/Center
  • Wesley Chapel, FL
National Provider Identifier
1982345757
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JV MOBILE CARE
Practice address
31236 Bridgegate Dr
Wesley Chapel, FL 33545-8219
Phone
(321) 537-7636
NPI assigned
Apr 5, 2022
Organization subpart
Yes
Parent organization
JV MOBILE CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jeannette Velazquez- Gomez, APRNNPI 1851860670
Title
Aprn/Owner
Phone
(321) 537-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

31236 Bridgegate Dr
Wesley Chapel, FL 33545-8219

Mailing address

PO Box 7325
Wesley Chapel, FL 33545-0105
Phone (321) 537-7636

Other names 1

  • JV Mobile Care LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606002393 FL Part B Supplier - Clinic/Group Practice 6204214125 Receives reassigned benefits from 1 practitioner
Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory
Part of
JV Mobile Care

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1982345757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7325",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335450105",
            "telephone_number": "321-537-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31236 BRIDGEGATE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335458219",
            "telephone_number": "321-537-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JV MOBILE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JV MOBILE CARE",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ- GOMEZ",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "321-537-7636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JV Mobile Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JV Mobile Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.